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Register for 2018 Dartmouth CO-OP Annual Meeting

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2018 CO-OP Primary Care Research Network Annual Meeting

Located at Mill Falls at the Lake
Meridith, NH

January 26-28, 2017


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This meeting is supported, in part, by Dartmouth SYNERGY Clinical and Translational Science Institute and the New England Clinical and Translational Research Network

Please select your Weekend Plan(s) (Cost includes lodging, meals and meeting breaks)
Full Weekend Attendee = $299Saturday & Sunday Attendee = $199Saturday Only Attendee = $90Spouse/Guest Full Weekend = $150Spouse/Guest Sat & Sun = $100For Child(ren) under 12 = $40

First time attendee - Apply $100 scholarshipHaven't attended in the last 5 years - Apply $100 scholarship

Please specify any special dietary needs.

Names of Attendees, Spouse/Guest and/or Children

Your Message

Pay by Credit Card: This information will only be received by Deborah Johnson. Once applied all information will then be destroyed.
Name on Credit Card:
Credit Card #:
Expiration Date:

Please make checks payable to MHMH and send to:
Dartmouth CO-OP Project
Dartmouth Geisel School of Medicine
HB 7250, Hanover, NH 03755